Organization · NPI-2
Aegis Group Practice LLC
Physical Therapist · Marietta, GA
NPI number1780229740
StatusActive
Last updated in NPPESNov 14, 2019
Details
- NPI
- 1780229740
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice LLC
- Organization subpart
- No
- Enumeration date
- Nov 14, 2019
- Last updated
- Nov 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
9 Sherwood Ln SeMarietta, GA 30067-4035
Phone 800-444-6845
Mailing address
2601 Network Blvd Ste 102Frisco, TX 75034-9092
Phone 972-372-6779 · Fax 479-668-0872
Authorized official
Michael Mcolvin
Vp-Finance
4792012000
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